Organization
LEG UP FARM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS CASTRIOTA JR. (PRESIDENT & CEO)
(717) 266-9294
Entity
Organization
Contact information
Practice address
4880 N SHERMAN STREET EXT, MOUNT WOLF, PA 17347-9637
(717) 266-9294
(717) 384-8071
Mailing address
4880 N SHERMAN STREET EXT, MOUNT WOLF, PA 17347-9637
(717) 266-9294
(717) 384-8071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
PA
221700000X
Art Therapist
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023981110001
—
PA
Enumeration date
10/30/2009
Last updated
05/12/2010
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